NPI 1407283583

Community Connection, LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Olathe, KS

Practice location

Address: 11300 W 175th St, Olathe, KS 66062-9468
Phone: (913) 851-2617
Fax: (913) 851-2617

Authorised official

Name: Marcelyn Roe
Title: Owner/Director
Phone: (913) 851-2617

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1407283583
Entity type: Organization
NPI issued: 3 Oct 2013
Record last updated: 3 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.